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AST-0126-2021 ti t Office Use Only ACCESSORY STRUCTURE Permit#: AST-a l Zb- ZO21 Tom ofQueensbury PERMIT APPLICATION Permit Fee:$ 0 742 Bay Road,Queensbury,NY 12804 Invoice#: D P:518-761-8256 www.nueensbury.net Flood Zone? Y N Reviewed By: Project Location: 39 Noble Way, Queensbury, NY 12804 Tax Map ID#: 301.5-1-58 Subdivision Name: King's Court PROJECT INFORMATION: TYPE: Z Residential ❑ Commercial, Proposed Use: STRUCTURE: ❑ Boathouse(with or w/o sundeck) ❑ Canopy ❑ Carport ❑ Cell Tower © Deck ❑ Detached Garage.(>300 s.f.) ❑ Dock ❑ Gazebo ❑ Pavilion ❑ Pole Barn ❑ Porch ❑ Ramp ❑ Shed (<300 s.f.) ❑ Solar Panels(w/o rafter upgrades) ❑ 3-Season Porch ❑ Other: SQUARE FOOTAGE OF STRUCTURE: 1st floor: 352 sq. ft. 2nd floor: Total square feet: 352 sq. ft. Brief description of scope of project: A 352 sq. ft. Trex composite deck attached to back of house. Accessory Structure Application Revised January 2021 ADDITIONAL PROJECT INFORMATION: 1. Estimated Cost of Construction:$15,000 2. Are there any structures not shown on the plot plan? ❑YES ©NO Explain: 3. Are there any easements on the property? OYES ❑ NO DECLARATION: 1. 1 acknowledge that no construction shall be commenced prior to the issuance of a valid permit and will be completed within a 12 month period.Any changes to the approved plans prior to/during construction will require the submittal of amended plans,additional reviews and re-approval. 2. If,for any reason,the building permit application is withdrawn, 30%of the fee is retained by the Town of Queensbury.After 1 year from the initial application date, 100%of the fee is retained. 3. Ifthework is not completed by the 1 year expiration date the permit may be renewed, subject to fees and department approval. 4. 1 certify that the application, plans and supporting materials are atrue and a complete statement and/or description of the work proposed,that all work will be performed in accordance with the NYS Building Codes, local building laws and ordinances, and in conformance with local zoning regulations. 5. 1 acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate of occupancy. 6. 1 also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy. I have read and agree to the above: PRINT NAME: SIGNATURE: DATE: Accessory Structure Application Revised January 2021 CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL • Applicant: Name(s): Ryan & Jacqueline Cross Mailing Address, C/S/Z: 39 Noble Way, Queensbury, NY 12804 Cell Phone: (518) 796-3473 Land Line: Email: ryan.b.cros@gmail.com Primary Owneds): Name(s): Ryan &Jacqueline Cross Mailing Address, C/S/Z: 39 Noble Way, Queensbury, NY 12804 Cell Phone: (518) 796-3473 Land Line: Email: ryan.b.cross@gmail.com ❑ Check.if all work will be performed by property owner only • Contractor(s): (List all additional contractors on the back of this form) Contractor Name(s): J. Moeller Construction LLC Contractor Trade:General Contractor Mailing Address, C/S/Z: 177 East River Drive, Lake Luzerne, NY 12846 Cell Phone: (518) 222-6829 Land Line: (518) 696-5224 Email:jmoebuilds@gmail.com "Workers' Comp documentation must be submitted with this application" • Architect(s)/Eneineeds): Business Name: Contact Name(s): Mailing Address, C/S/Z: Cell Phone: Land Line: Email: Contact Person for any questions regarding this project: Cell Phone: Jamie Moeller Land Line: (518) 696-5224 Email:jmoebuilds@gmail.com Accessory Structure Application Revised January 2021 .......................... FILE Copy be AO-W Alx, A Iv ... ... -77 hall not be construed as -indicating the plans S ifications are in .7. TOWN OF QUEENSBURY -BUILDING-DEPARTMENT Based on Our limited examination,compliance with our comments_shall ns full com Y;pllanoe with the rucilding Codes of -New StahL, TOWN--OFQ&MSBURY­ --- BUILDINGA CODES DEPT.- Reviefvdd A Xl/ e. D t 1-C 77C Am, 301.5-1-58 AST 0126-2021 Cross, Jacqueline & Ryan M R--1-91202V­ 39 Noble Way TOWN OF QUEEN BURY Deck 352 s.f. BUILDING& CODES --------------- ----------- _,-,.Jj fill olo Vay ap 2 STORY N WOOD FRAME �O�F HOUSE CIRS lK HOUSE ENLARGEMENT: N.T.S. of DECE0WE MAR 19 2021 �; t�!tt i1•yP LOT #7 0� 1.018 t ACRES a LOT # TOWN OF QUEENSBURY ��: �PpG ; w BUILDING CODES �y�° t t'�°o`' �� uuu �l STEP ;- c.M. ' CIRS s A.C.p C. " 4 i` ' '`'`; `•� �` 2 STORY. WOOD FRAME I HOUSE ^ 51.2'1 1: ; ... TAN C ryaO. �11 / Vx OZ\y�0 B X9 ��Z y J I \Ty� LOT #6 °y ° ' m CIRS '3604 NOTES. si R'32 KING 1. SURVEY SHOWN WAS PREPARED FROM AN APRIL 2006 FIELD SURVEY, /p8 P ` 2. NO SEARCH OF PUBLIC RECORD WAS MADE IN CONNECTION WITH EASEMENTS OR RESTRICTIONS THAT MAY NOT HAVE BEEN CONTAINED CIRS IN COMMITMENT FOR TITLE INSURANCE (TITLE NO. NVR 06-1202) ISSUED BY CHICAGO TITLE INSURANCE COMPANY ON MARCH 28, 2006. 3. SURVEY SHOWN IS SUBJECT TO ANY SUBSURFACE CONDITIONS THAT MAY EXIST, IF ANY. 4. UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED LAND SURVEYOR'S SEAL IS A VIOLATION OF SECTION 7209, SUBDIVISION 2, OF THE NEW YORK STATE EDUCATION LAW. 5. ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITH AN ORIGINAL OF THE LAND SURVEYOR'S EMBOSSED SEAL, AND SIGNATURE IN RED, SHALL BE CONSIDERED TO BE TRUE AND VAUD COPIES. 6. CERTIFICATIONS INDICATED OR IMPLIED HEREON SIGNIFY THAT THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE EXISTING CODE OF PRACTICE FOR LAND SURVEYS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS. SAID CERTIFICATIONS SHALL RUN ONLY TO THE PERSON OR PERSONS FOR "— --- - --— -------------."--_._ WHOM THIS SURVEY WAS PREPARED, AND ON HIS OR THEIR BEHALF 20133IM59 TO°THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING Instr#2013-3000- IOICT1TMAKI IICTCn LCDCnAI Alin Tn TLC ACCI!`JJCCC AC TJC .....�........ .,,.__